| Alaska Hospitalist Group Llc | |
|
4300 B Street Suite 200 Anchorage AK 99503 | |
| (907) 375-3355 | |
| (907) 375-3351 |
| Full Name | Alaska Hospitalist Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4300 B Street, Anchorage, Alaska |
| Authorized Official Name and Position | Jocelyn Pemberton (CEO) |
| Authorized Official Contact | 9073753355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Hospitalist Group Llc 4300 B Street Suite 200 Anchorage AK 99503 Ph: (907) 375-3355 | Alaska Hospitalist Group Llc 4300 B Street Suite 200 Anchorage AK 99503 Ph: (907) 375-3355 |
| NPI Number | 1831296995 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 6507755964 |
|---|---|
| Medicare Enrollment ID | O20040312001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831296995 | NPI | - | NPPES |
| MDG421 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Secondary |
| Provider Name | Patrick D Brady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982772505 PECOS PAC ID: 3274437793 Enrollment ID: I20031125000518 |
| Provider Name | Matthew C Berenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588633150 PECOS PAC ID: 0446158158 Enrollment ID: I20031219000337 |
| Provider Name | Jeffrey J Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821034869 PECOS PAC ID: 5991693889 Enrollment ID: I20040310001181 |
| Provider Name | Christine Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942220108 PECOS PAC ID: 4688565807 Enrollment ID: I20040324001226 |
| Provider Name | John Paul Bramante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185081 PECOS PAC ID: 5698663573 Enrollment ID: I20040415000313 |
| Provider Name | Chris Devon Zerger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477579571 PECOS PAC ID: 9830184829 Enrollment ID: I20040419000894 |
| Provider Name | John C Boston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982666137 PECOS PAC ID: 8123017761 Enrollment ID: I20040510000659 |
| Provider Name | Bennett H Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548368673 PECOS PAC ID: 3476534298 Enrollment ID: I20040527000613 |
| Provider Name | Terry L Lester |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891893921 PECOS PAC ID: 0244214013 Enrollment ID: I20040716000459 |
| Provider Name | Ryan M Mcghan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417986274 PECOS PAC ID: 8022080167 Enrollment ID: I20040810000604 |
| Provider Name | Keith B Augustin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679671796 PECOS PAC ID: 8820076698 Enrollment ID: I20041103001286 |
| Provider Name | Elizabeth Martinez Augustin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487772810 PECOS PAC ID: 8123071370 Enrollment ID: I20050228000619 |
| Provider Name | Michael M Mraz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629011218 PECOS PAC ID: 0547201659 Enrollment ID: I20050519000219 |
| Provider Name | Ronald L Healy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144329145 PECOS PAC ID: 5193762128 Enrollment ID: I20050823001158 |
| Provider Name | Matthew J Magruder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831271477 PECOS PAC ID: 4486679370 Enrollment ID: I20051010000889 |
| Provider Name | Mark E Agnew |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992898704 PECOS PAC ID: 4587686217 Enrollment ID: I20051222000188 |
| Provider Name | Emily C Church |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477536316 PECOS PAC ID: 5597863803 Enrollment ID: I20070611000473 |
| Provider Name | Shari D Morgan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649215419 PECOS PAC ID: 2163520487 Enrollment ID: I20070611000541 |
| Provider Name | Javid Kamali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306985346 PECOS PAC ID: 9537252531 Enrollment ID: I20070907000177 |
| Provider Name | Matthew J Dudley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427155423 PECOS PAC ID: 9133212863 Enrollment ID: I20070911000396 |
| Provider Name | Katherine N Naylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013938729 PECOS PAC ID: 6305840356 Enrollment ID: I20071116000390 |
| Provider Name | Anthony K Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053418004 PECOS PAC ID: 7517057193 Enrollment ID: I20071219000671 |
| Provider Name | Crystal J Imperato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871708297 PECOS PAC ID: 3577646348 Enrollment ID: I20080218000070 |
| Provider Name | Robert D Church |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336246396 PECOS PAC ID: 9537234869 Enrollment ID: I20080820000440 |
| Provider Name | Sharolyn H Baldwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649325127 PECOS PAC ID: 2264595685 Enrollment ID: I20090112000584 |
| Provider Name | Alexis Delgado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033146709 PECOS PAC ID: 1456354851 Enrollment ID: I20090112000666 |
| Provider Name | Jeffrey Melendez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801914023 PECOS PAC ID: 8123119229 Enrollment ID: I20090423000072 |
| Provider Name | Julian T Rojas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982814208 PECOS PAC ID: 5092866483 Enrollment ID: I20090624000653 |
| Provider Name | Lior Dolgonos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710033311 PECOS PAC ID: 2163522996 Enrollment ID: I20090818000866 |
| Provider Name | Dustin M Lang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871649558 PECOS PAC ID: 1254478217 Enrollment ID: I20091022000752 |
| Provider Name | Karen Mailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346254307 PECOS PAC ID: 0547288441 Enrollment ID: I20091201000687 |
| Provider Name | Jose L Luna Zelaya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194964239 PECOS PAC ID: 0244372118 Enrollment ID: I20100115000454 |
| Provider Name | Kristin M Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023054061 PECOS PAC ID: 4587552468 Enrollment ID: I20100312000439 |
| Provider Name | Mandy R Garnett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639376924 PECOS PAC ID: 5698890515 Enrollment ID: I20100916000037 |
| Provider Name | Shadi I Battah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851412340 PECOS PAC ID: 6204951908 Enrollment ID: I20100918000064 |
| Provider Name | Michael L Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942428354 PECOS PAC ID: 2860684438 Enrollment ID: I20101014000663 |
| Provider Name | Timothy Bateman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285732305 PECOS PAC ID: 6305735762 Enrollment ID: I20110103000937 |
| Provider Name | George P Spady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881701407 PECOS PAC ID: 3779532387 Enrollment ID: I20110107000568 |
| Provider Name | Dorothy M Shearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275633091 PECOS PAC ID: 2860381225 Enrollment ID: I20110111000793 |
| Provider Name | Michael G Mullowney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578662391 PECOS PAC ID: 2668434333 Enrollment ID: I20110121000448 |
| Provider Name | Joseph R Lestina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144328279 PECOS PAC ID: 4486543840 Enrollment ID: I20110121000477 |
| Provider Name | Shannon Lynn Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770887101 PECOS PAC ID: 9335320589 Enrollment ID: I20110222000671 |
| Provider Name | Chris A Swanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134379159 PECOS PAC ID: 4385814128 Enrollment ID: I20110902000403 |
| Provider Name | Leslie Gonsette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891978599 PECOS PAC ID: 2961535851 Enrollment ID: I20111011000280 |
| Provider Name | Kristen Marie Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982894861 PECOS PAC ID: 8729272703 Enrollment ID: I20120119000842 |
| Provider Name | Larry S Owen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396859666 PECOS PAC ID: 1355399858 Enrollment ID: I20130212000295 |
| Provider Name | Michael R Alcorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760547210 PECOS PAC ID: 0840430898 Enrollment ID: I20130716000015 |
| Provider Name | Gail Michelle Pokorney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588980445 PECOS PAC ID: 2264674308 Enrollment ID: I20130820000327 |
| Provider Name | Aaron Haynes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821271677 PECOS PAC ID: 2466636188 Enrollment ID: I20130927000277 |
| Provider Name | David L Grills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447418132 PECOS PAC ID: 2264603216 Enrollment ID: I20130927000328 |
| Provider Name | Edwin Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710148705 PECOS PAC ID: 0648311761 Enrollment ID: I20131203000531 |
| Provider Name | Shannon C Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265787204 PECOS PAC ID: 7214167394 Enrollment ID: I20140312000099 |
| Provider Name | Jonathan Daining |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215195755 PECOS PAC ID: 6507034972 Enrollment ID: I20140605001646 |
| Provider Name | Brian Jeppesen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760773436 PECOS PAC ID: 1254576168 Enrollment ID: I20140719000022 |
| Provider Name | Ido Barkay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568751477 PECOS PAC ID: 3476799735 Enrollment ID: I20140813000908 |
| Provider Name | Joseph V Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982693586 PECOS PAC ID: 2062632698 Enrollment ID: I20141002002383 |
| Provider Name | Susan Hayner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487933297 PECOS PAC ID: 3779737135 Enrollment ID: I20141021002614 |
| Provider Name | Will A Bemben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891082699 PECOS PAC ID: 7113170028 Enrollment ID: I20141030002049 |
| Provider Name | Mark Hansen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851566947 PECOS PAC ID: 7315091212 Enrollment ID: I20150506001407 |
| Provider Name | Ailinh Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306172853 PECOS PAC ID: 3476728833 Enrollment ID: I20150708002334 |
| Provider Name | Tokunbo James Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205994852 PECOS PAC ID: 7012167786 Enrollment ID: I20150722006544 |
| Provider Name | Nicholas Flickinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740544097 PECOS PAC ID: 5395999742 Enrollment ID: I20150803002849 |
| Provider Name | Robert Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811250319 PECOS PAC ID: 2466767207 Enrollment ID: I20150821014670 |
| Provider Name | Ryan G Webb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770808586 PECOS PAC ID: 0941523104 Enrollment ID: I20151015002280 |
| Provider Name | Amar S Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020683 PECOS PAC ID: 3779701719 Enrollment ID: I20151023002064 |
| Provider Name | Cody M Augdahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801150974 PECOS PAC ID: 3971756438 Enrollment ID: I20151216002600 |
| Provider Name | Ruth A Dukoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760495246 PECOS PAC ID: 1153319330 Enrollment ID: I20160509002423 |
| Provider Name | Lucinda A. Macneal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366678641 PECOS PAC ID: 3971736182 Enrollment ID: I20160726003051 |
| Provider Name | David S Wenger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386919686 PECOS PAC ID: 8921322967 Enrollment ID: I20160803001523 |
| Provider Name | Kathryn A Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629418215 PECOS PAC ID: 4385873249 Enrollment ID: I20161031000476 |
| Provider Name | Terin Ostroski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154663680 PECOS PAC ID: 9830316660 Enrollment ID: I20161129000162 |
| Provider Name | Ravinder P Shergill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053341099 PECOS PAC ID: 9830095017 Enrollment ID: I20170109002966 |
| Provider Name | Blair Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831481514 PECOS PAC ID: 4981848439 Enrollment ID: I20170117000451 |
| Provider Name | Nicholas P Cosentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013276898 PECOS PAC ID: 1456675099 Enrollment ID: I20170419001752 |
| Provider Name | George N Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796775 PECOS PAC ID: 7719134386 Enrollment ID: I20170424002391 |
| Provider Name | David B Penn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477968485 PECOS PAC ID: 9234354382 Enrollment ID: I20170728002203 |
| Provider Name | Lindsay Rumberger-rivera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235440843 PECOS PAC ID: 0749422269 Enrollment ID: I20170829000342 |
| Provider Name | Toby Currin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720493737 PECOS PAC ID: 4284859430 Enrollment ID: I20180116001344 |
| Provider Name | Anna E Reese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295761500 PECOS PAC ID: 8022033992 Enrollment ID: I20180518001744 |
| Provider Name | Katherine Hope Buddenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336374875 PECOS PAC ID: 7214163203 Enrollment ID: I20180712000626 |
| Provider Name | Calvin B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023596 PECOS PAC ID: 5496068546 Enrollment ID: I20180801001243 |
| Provider Name | Casey S Mapes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083009906 PECOS PAC ID: 4183930589 Enrollment ID: I20180821000675 |
| Provider Name | Eric Dreibelbeis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518371210 PECOS PAC ID: 2264650878 Enrollment ID: I20180821004177 |
| Provider Name | David M Abel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598151797 PECOS PAC ID: 6507170792 Enrollment ID: I20180905003277 |
| Provider Name | Katherine Alice Senter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134474810 PECOS PAC ID: 8527323476 Enrollment ID: I20181016004101 |
| Provider Name | Elizabeth Hankinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538452941 PECOS PAC ID: 0244546877 Enrollment ID: I20181026001994 |
| Provider Name | Brian W Newman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649631193 PECOS PAC ID: 6406154681 Enrollment ID: I20181116000060 |
| Provider Name | Christopher J Beaudoin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710306410 PECOS PAC ID: 5991095382 Enrollment ID: I20190318001049 |
| Provider Name | Erin Alaina Reding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588133748 PECOS PAC ID: 7012257629 Enrollment ID: I20190319000148 |
| Provider Name | Alicia Blenkush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407374309 PECOS PAC ID: 2062753858 Enrollment ID: I20190403003217 |
| Provider Name | Charles L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063838639 PECOS PAC ID: 6305118514 Enrollment ID: I20190426002227 |
| Provider Name | Syed Mushfiqur Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497140131 PECOS PAC ID: 2264775576 Enrollment ID: I20190529002079 |
| Provider Name | Sergei Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740672708 PECOS PAC ID: 6002120854 Enrollment ID: I20190614000887 |
| Provider Name | Susan Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902342520 PECOS PAC ID: 3375811490 Enrollment ID: I20190628001442 |
| Provider Name | Julia Herbert |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245625128 PECOS PAC ID: 6002144359 Enrollment ID: I20190823001775 |
| Provider Name | Andrew Timothy Ingram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164499216 PECOS PAC ID: 2769519560 Enrollment ID: I20190910002273 |
| Provider Name | Megan U Roosen-runge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245624204 PECOS PAC ID: 1658682331 Enrollment ID: I20191122001078 |
| Provider Name | Louis J Bartoletti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790133239 PECOS PAC ID: 0345533196 Enrollment ID: I20200106002856 |
| Provider Name | Emma Coleman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780078758 PECOS PAC ID: 9638471931 Enrollment ID: I20200207002316 |
| Provider Name | Shasta M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417312315 PECOS PAC ID: 1254638828 Enrollment ID: I20200528000778 |
| Provider Name | Elizabeth L Ohlsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249427 PECOS PAC ID: 8527337757 Enrollment ID: I20200701003465 |
| Provider Name | Jon Grace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245573278 PECOS PAC ID: 8527286046 Enrollment ID: I20200706000972 |
| Provider Name | Daniel Hyman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922493675 PECOS PAC ID: 8123454337 Enrollment ID: I20200714002557 |
| Provider Name | Erik K Hauswald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760919377 PECOS PAC ID: 3577832708 Enrollment ID: I20200715000988 |
| Provider Name | Matthew Paul Strohmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457883266 PECOS PAC ID: 8628492030 Enrollment ID: I20200717002541 |
| Provider Name | Nataliya V Polito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306259361 PECOS PAC ID: 3971922014 Enrollment ID: I20200923001922 |
| Provider Name | Angene V Johnson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134581226 PECOS PAC ID: 9436441342 Enrollment ID: I20210210003293 |
| Provider Name | Kala Maus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699264903 PECOS PAC ID: 3971851510 Enrollment ID: I20210615003463 |
| Provider Name | Hans J Wilhelm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467941674 PECOS PAC ID: 5799033460 Enrollment ID: I20210618001226 |
| Provider Name | Benjamin Walz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407098577 PECOS PAC ID: 7214176635 Enrollment ID: I20210629000000 |
| Provider Name | Elizabeth Clare Cummings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023514650 PECOS PAC ID: 8921401928 Enrollment ID: I20210728003402 |
| Provider Name | Isaac Saul Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831694785 PECOS PAC ID: 8628471638 Enrollment ID: I20210728004135 |
| Provider Name | Michael Walleri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295224400 PECOS PAC ID: 0446508113 Enrollment ID: I20210830002444 |
| Provider Name | Catherine Anne Marzan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568902997 PECOS PAC ID: 5890020804 Enrollment ID: I20220906001285 |
| Provider Name | Claire Enriquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194384891 PECOS PAC ID: 5193109478 Enrollment ID: I20220906001758 |
| Provider Name | Stephen Ellison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134782121 PECOS PAC ID: 8729314059 Enrollment ID: I20220907002854 |
| Provider Name | Dustin J Mclemore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427218601 PECOS PAC ID: 8224255799 Enrollment ID: I20230306002299 |
| Provider Name | Tushar Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184104218 PECOS PAC ID: 8325475775 Enrollment ID: I20230713001738 |
| Provider Name | Matthew Evans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295399590 PECOS PAC ID: 7315360989 Enrollment ID: I20230801001175 |
| Provider Name | Alexandra Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366063349 PECOS PAC ID: 1355764424 Enrollment ID: I20230802002982 |
| Provider Name | Andrew R Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629697396 PECOS PAC ID: 4587087093 Enrollment ID: I20230821001314 |
| Provider Name | Heath Wade Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235768094 PECOS PAC ID: 9537582523 Enrollment ID: I20230823002552 |
| Provider Name | Kathleen Gardner Judd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477013159 PECOS PAC ID: 3678808391 Enrollment ID: I20230824003300 |
| Provider Name | Emma Simpson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396122412 PECOS PAC ID: 5698187037 Enrollment ID: I20230927003600 |
| Provider Name | Kyler Benjamin Dykes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720616428 PECOS PAC ID: 8325479710 Enrollment ID: I20230928001808 |
| Provider Name | Carol Ann Sant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214520 PECOS PAC ID: 8224483656 Enrollment ID: I20231004003891 |
| Provider Name | Olivia Roehling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285262246 PECOS PAC ID: 8527499128 Enrollment ID: I20231208001875 |
Alaska Premier Health Alaska Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Arctic Blvd, 101, Anchorage, AK 99503 Phone: 907-561-3488 Fax: 907-562-3488 | |
Alaska Family Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4001 Dale Street, Suite 210, Anchorage, AK 99508 Phone: 907-929-5888 Fax: 907-929-5882 | |
Daryl M. Mcclendon, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Piper St, Suite U466, Anchorage, AK 99508 Phone: 907-569-1333 Fax: 907-569-1433 | |
Willow Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Wendys Way Unit A, Anchorage, AK 99517 Phone: 406-253-7924 | |
Douglas Carter Smith, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17741 Mountainside Village Dr, Anchorage, AK 99516 Phone: 907-345-0728 Fax: 907-345-0728 | |
Internal Medicine Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2841 Debarr Rd Ste 50, Anchorage, AK 99508 Phone: 907-276-2811 Fax: 907-276-2810 | |
Summit Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Debarr Rd, Suite C308, Anchorage, AK 99508 Phone: 907-272-3366 Fax: 907-272-0269 |